2.220.F · Staff designated by the director to give medications must complete the Department-approved medication administration training and have current annual delegation or more often as determined by the Department-approved child care health consultant. Delegation must be from the center’s current Department-approved child care health consultant who must observe and document the competency of each staff member involved in medication administration. All staff administering medication must have current cardiopulmonary resuscitation (CPR) and first aid training prior to administering medication with the following exceptions:

Reviewed eleven (11) staff files. Six (6) staff are missing a current delegation from a Department-approved child health consultant. Correction: Immdeiately ensure all staff designated by the director to give medication complete Department-approved medication administration training and have a current annual delegation or more often as determined by the department-approved child care health consultant. Provide a written statementn of compliance and the delegation by

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

2.213.B · All staff must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed eleven (11) staff files. Five (5) staff files had an expired Department-approved Standard Precaution training. Correction: Immediately ensure all staff have a Department-approved Standard precaution training prior to working with children. This training must be renewed annually. Provide a written statement of compliance and a training certificate by 2/29/2024. Correct by 01/30/2024

Corrected Corrected by Jan 30, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually.

Reviewed eleven (11) staff files. Four (4) staff files had an expired Department-approved Child Abuse Prevention training. Correction: Immediately ensure all staff have a Department-approved Child Abuse Prevention training within thirty (30) calender days of employment. This training must be renewed annually. Provide a written statement of compliance and a training certificate by 2/29/2024. Correct by 01/30/2024

Corrected Corrected by Jan 30, 2024

Category: recordkeeping. Marked corrected in the state record.

2.120.C.1.a.1 · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: Individuals who have obtained a successfully completed CBI or FBI record check may care for children, for no longer than FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ ninety (90) calendar days, while waiting for all other required background checks to be completed. The individual must be supervised at all times by an individual who has successfully completed all required background checks.

Reviewed eleven (11) Staff files. Crystal D. and Jonathan B. were missing a Trails clearance letter. Correction: Immediately ensure all staff complete the Trails background check. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Web page powerpoint. Submit verification that the staff members have reviewed the PowerPoint within 24 hours. Submit documentation of Trails Clearance Letters for staff members with written response by 2/29/2024 Correct by 01/30/2024

Corrected Corrected by Jan 30, 2024

Category: supervision. Marked corrected in the state record.

2.222.A.1.b · All diaper change areas must: Have a place inaccessible to children for storing all diaper change supplies and disinfecting solutions and products;

At the time of inspection the were diapers underneath the changing table accessible to children in the Fluffy Bunnies classroom. Correction: Immediately ensure all diaper changing supplies are inaccessible to children at all times. Provide a written statement of compliance by 2/29/2024. Correct by 01/30/2024

Corrected Corrected by Jan 30, 2024

Marked corrected in the state record.

2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children.

At the time of inspection Licensing Specialist observed dial soap on the sink in the UPK classroom and Ajax dish soap in an unlocked closet in the School Age classroom. These items are labeled keep out of reach of children. Correction: Immediately ensure items labeled "keep out of reach of children" are inaccessible to children at all times. Provide a written statement of compliance by 2/29/2024. Correct by 01/30/2024

Corrected Corrected by Jan 30, 2024

Marked corrected in the state record.

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

During the health and safety walk through licensing specialist observed an outlet uncovered accessible to children in the Teddy Bear classroom on the right side of the classroom on the wall. Correction: Immediately ensure all outlets accessible to children to children have protective covers. Corrected at the time

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.217.C.5 · For the Department-approved Child Care Health Consultant, the center must maintain documentation from the Colorado Department of Regulatory Agencies that the Registered Nurse or the Medical Doctor’s licensure is in good standing.

Reviewed the Department-approved Child Care Health Consultant documentation and found they are missing a current lincensure. Correction: Immediately obtain a current copy of your Child Care Health Consultant licensure. Provide a written statement of compliance and documentation by 2/29/2024. Correct by 01/30/2024

Corrected Corrected by Jan 30, 2024

Category: health medication. Marked corrected in the state record.

2.217.C.6 · For the Department-approved child care health consultant, the center must maintain documentation of a brief biography highlighting applicable knowledge, experience, and approximate dates worked as a school nurse or child care health consultant.

Reviewed the Department-approved Child Care Health Consultant documentation and found they are missing a biography. Correction: Immediately ensure you have a biography for your Child Care Health Consultant. Provide a written statement of compliance and documentation by 2/29/2024. Correct by 01/30/2024

Corrected Corrected by Jan 30, 2024

Category: health medication. Marked corrected in the state record.

2.217.C.9 · All Department-approved child care health consultants must complete the Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse or neglect. This training must be completed within thirty (30) days of hire and renewed every three (3) years.

Reviewed the Department-approved Child Care Health Consultant documentation and found that their Department-approved training about child abuse prevention is expired. Correction: Immediately obtain a current copy of your Child Care Health Consultant Department-approved training about

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.